Allergen immunotherapy injections or “allergy shots” are prescribed for patients with allergic rhinitis (hay fever), allergic conjunctivitis (eye allergies), allergic asthma or life threatening reactions to bee stings. Immunotherapy would be considered for individuals, who have moderate or severe symptoms not adequately controlled by environmental control measures and/or medications.
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ALL patients are asked to:
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Allergen immunotherapy is prescribed for patients with allergic rhinitis (nasal allergies or hay fever), allergic conjunctivitis or allergic asthma. There are two forms of immunotherapy, or desensitization.
Spirometry is a common test used to diagnose asthma, chronic obstructive pulmonary disease (COPD) and certain other conditions that affect breathing. Spirometry may also be used periodically to check how well your lungs are working once you’re being treated for a chronic lung condition.
Exhaled nitric oxide is a gas that is produced by inflamed airways. Airway inflammation is one of the hallmarks of asthma. NIOX measures exhaled nitric oxide, and tells us how much inflammation is currently present in a patient’s airways.
Penicillin is the only antibiotic with available standardized testing.
Penicillin testing involves three steps.
1) Skin prick testing with the two components of the penicillin.
2) If negative, we perform intradermal testing (injections) with the two components of the penicillin.
3) If both skin prick and intradermal testing are negative, you will return on a separate day for a graded drug challenge appointment (2 hour appointment).
Skin testing to other antibiotics/medications can sometimes be performed, however we do not have standardized testing available for other medications. Therefore testing will not be as accurate. If a true allergic reaction to a medication is suspected, we will usually recommend avoidance.